Program Content

iHealth education sessions are practical and to the point. Designed with decision-makers in mind, sessions cover case studies where results are real and measurable. The content is grounded in science, but goes far beyond theory to incorporate the real-world experiences and expectations of clinicians. Keynotes, plenary sessions and special events give attendees time to really network and connect with the people tackling the tough questions and finding the right answers.

FRIDAY, January 31

10:30 a.m. – 12:00 p.m.

iNFORMATION – Semi-Plenary
Barriers and Solutions to Great HIT Governance

Richard B. Tayrien, DO, Chief Health Information Officer, HCA

Planning for and implementing health care technology and EHR’s in specific requires discipline, transparency and leadership. What are the inherent challenges to accomplishing the goals of implementation and how can physician and administrative leadership achieve these goals together? This addresses common barriers and pitfalls in establishing meaningful and effective governance of HIT and how they can be overcome within healthcare systems.

iNDIVIDUAL – Presentation
Is Technology Making us Less Human?

Bridget Duffy, MD, Chief Medical Officer, Vocera Communications

In the current environment, healthcare cost pressures and the drive towards increased efficiency make it is easy to lose connection with patients, families, and colleagues. When used effectively, healthcare technologies can improve efficiency as well as ease the burden of illness and delivering care for patients as well as care team members. Join Dr. Duffy as she discusses the importance of creating seamless, consistent journeys of care supported by technologies that restore human connection in healthcare. Dr. Duffy will connect the dots between efficiency, quality, safety and patient and staff experience, and share why it is important to engage clinical leaders in owning technology adoption and clinical process redesign.

12:00 p.m. – 1:30 p.m.

Lunch & Learn sponsored by IMO

Next Generation of Innovation on the Semantic Highway

Frank Naeymi-Rad, PhD, MS, MBA, CEO

Open to all attendees.

1:30 p.m. – 3:00 p.m.

iNTELLIGENCE – Presentation
The Role of the Vendor Community in Healthcare Data

Richard S. Johannes, MD, MS, Vice President for Clinical Research, CareFusion

The theme for this discussion will be the role and opportunities of the commercial/vendor community in informatics as well as that community’s perceptions and responsibilities. Dr. Johannes will describe two exemplars of data types that are publicly available and often more useful than many have realized: the data used for public reporting of outcomes in the Commonwealth of Pennsylvania and the data used for electronic surveillance of hospital acquired infections. These two examples will illustrate how readily available data remains underexploited. The session will also explore the natural opportunities to derive inferences and to learn from aggregating data from coding systems, coding data, physiological data, radiological data, subjective data and now even genetic data and their examination at the population level and delivery system level. This talk will present an argument from the perspective of “evidence-based medicine” but also from the perspective of the “art of the possible” in industry , and propose new roles and requisite skills for commercial organizations to create systems that advance the analytic capabilities of a learning healthcare system.

iNFORMATICS – Presentation
The Time is Now for Patient Safety and Interoperable HIT

David Classen, MD, CMIO, Associate Professor of Medicine and Consultant in Infectious Diseases University of Utah School of Medicine

In all reports from the Institute of Medicine on Patient Safety the importance of HIT in improving safety is emphasized repeatedly. However the challenges in actually However the challenges in actually improving patient safety with HIT are many and one of the most important is the issues of interoperability of different HIT systems. Much progress has been made in developing interoperable EHR systems however with the ongoing development of medical devices, especially smart medical devices the challenges of interoperability for medical devices and EHRs has become a challenge for many health care users. As medical devices include more and more software capabilities the opportunity to leverage medical devices to collect and integrate information in the EHRs is significant. As well the ability of medical devices to use information from EHRs to improve safety is all also rapidly evolving as for example some smart infusions pumps can accept orders directly from CPOE systems within EHRs. In addition medical devices can also collect information that can be used for quality and safety reporting further increasing the need for interoperability of medical devices. This session will cover the issues outlined above including an innovative project to allow direct quality reporting from smart infusion pumps

3:30 p.m. – 5:00 p.m

Widespread quality and safety improvement through HIT: how can academia, industry, and other stakeholders work together toward the goal?

Jonathan Teich, MD, PhD, Chief Medical Informatics Officer, Elsevier
Mark Frisse, MD, Accenture Professor, Department of Biomedical Informatics, Vanderbilt University School ofMedicine
Marc Overhage, MD, PhD, Chief Medical Informatics Officer, Siemens Health Services
Bruce Slater, MD, PhD, Clinical Informatics Specialist, Epic

Nearly everyone who works in the health information field – in industry, academic, provider, patient, and other segments – has common goals in mind: to improve the quality, safety, cost, satisfaction and operations of healthcare through the use of readily available information tools. These varied stakeholders must work together in certain ways to achieve these goals; yet, each stakeholder also has its own specific goals and drivers, and each may have an ideal role in mind for the others which may not align with another group’s ideal. In this session, leaders from various stakeholder groups will comment on their goals and drivers, how they see the others as allies or impediments, how past combined efforts have succeeded or failed, and how all groups might most effectively pool their efforts into a realistic common framework that will let us advance health care for all. This is intended to be an open discussion, where audience members are welcome to participate and start to build out the framework.

iMPROVEMENT – Presentation
Rediscovering E.H.R. Data

S. Toufeeq Ahmed, MS, PhD, Assistant Professor of Biomedical Informatics, Vanderbilt University Medical Center
Joshua Denny, MD, MS, Associate Professor of Biomedical Informatics and Medicine, Vanderbilt University
William Gregg, MD, MS, MPH, Assistant Professor, Biomedical Informatics and Medicine, Vanderbilt University
Marc Williams, MD, Director of the Genomic Medicine Institute, Geisinger
Kevin Johnson, MD, MS, Cornelius Vanderbilt Professor & Chair of Biomedical Informatics, Professor of Pediatrics, Vanderbilt (panel moderator)

A panel of all-stars from Vanderbilt and Geisinger will showcase best practices around the reuse of EHR data for discovery, quality improvement (analytics), clinical decision making ,and systems engineering. Don’t be fooled or told otherwise, the E.H.R. is not a black-box that needs to be locked down, rather it is a space that should be leveraged for the betterment of clinical care and improved patient outcomes.

SATURDAY, February 1

7:00 a.m. – 8:30 a.m.

Corporate Roundtable sponsored by Deloitte

How can we make use of the quantified self? The approaching patient data tsunami

Michael Kamerick, DC Specialist Leader, Recombinant by Deloitte

This event is invitation only.

10:30 a.m. – 12:00 p.m.

iNFORMATION –Presentation
Tackling the Tough Topics from an Interdisciplinary Perspective

Brenda Kulhanek, PhD, RN-BC, CPHIMS, Corporate Director, Clinical Informatics, Adventist Health
Steven Luxenberg, MD, FACP, CMIO, Piedmont Healthcare
Steve Margolis, MD, CMIO, Adventist Health
Patricia Sengstack, DNP, RN-BC, CPHIMS, CNIO, Bon Secours Health System

Health IT cannot be undertaken successfully by a lone discipline. It takes a team approach, each bringing unique knowledge, skills and expertise. Come see and ask how these accomplished informatics nurses and physicians have addressed some of our industry’s hottest topics. This panel will take on discussions surrounding Meaningful Use, HIT Safety, HIT training, ACO’s, Med reconciliation, standard terminologies, the HIT workforce – or other topics that may arise in the discussion. You won’t want to miss where this conversation may go!

Evidence Generation to Address Operational Priorities in Delivery Systems

Peter Embi, MD, MS, FACMI, Associate Professor and Vice-Chair, Department of Biomedical Informatics; Associate Professor of Internal Medicine (Rheumatology); Chief Research Information Officer, The OSU Wexner Medical Center
Beth McGlynn, PhD, Director, Kaiser Permanente Center for Effectiveness and Safety Research
Becky Yano, PhD, Professor, Health Policy and Management, UCLA Fielding School of Public Health
Jack Starmer,MD, Associate Professor, Vanderbilt School of Medicine

The emphasis on evidence-based medicine is evolving to a newer approach called evidence-generating medicine, in which informatics helps leverage point-of-practice demands to facilitate connections between practice and clinical research. Beth McGlynn will talk about the culture of evidence generation at Kaiser Permanente. Becky Yano will talk about high and low performing health systems. Jack Starmer will discuss evidence-based decision Support.

iNNOVATION – Fishbowl
Innovations in Pediatric Quality Improvement

Lisa Simpson, MB, BCh, MPH, President and CEO, AcademyHealth, Moderator
James Lock, MD, Cardiologist-in-Chief, Boston Children’s Hospital
Aaron E. Carroll, MD, MS, Associate Professor of Pediatrics, IUSM, Associate Director for Research of the Children’s Health Services Research Program; Affiliated Scientist at the Regenstrief Institute for Health Care
Michael Kappelman, MD, MPH, Assistant Professor of Pediatrics at University of North Carolina

Panelists from three different health systems will showcase innovations that improve quality of care and information flow and increase public support for informatics investments. James Lock will discuss the impact of SCAMPs at Boston Children’s Hospital. Aaron Carroll will talk about working with the media to move the needle on quality. Mike Kappelman will address ways that practice-based research can influence clinical quality improvement.

1:30 p.m. – 3:00 p.m.

Mobile Self-Monitoring and Health Behavior Change

Margo Edmunds, PhD, Vice President, Evidence Generation and Knowledge Translation, AcademyHealth, Moderator
Kevin Johnson, MD, MS, Professor & Chair of Biomedical Informatics, Professor of Pediatrics, Vanderbilt University
Wilson Pace, MD, Director of SNOCAP, University of Colorado-Denver
Ian Eslick, PhD, Managing Partner, Vital Reactor, LLC

Preventive and behavioral medicine research has demonstrated that self-monitoring is a powerful tool for behavior change, and mobile technologies offer a wealth of new opportunities for consumer engagement that improves personal health outcomes. Kevin Johnson will speak about personalized medication management. Wilson Pace will speak about preventive health in family environments. Ian Eslick will describe platforms for aggregated self-experiments Pace will speak about preventive health in family environments.

Outcomes of the Future: Composite quality metrics that indicate health benefit

R. Scott Braithwaite, MD, Associate Professor, Director of the Division of Comparative Effectiveness and Decision Science at New York University School of Medicine
Stephen M. Downs, MD, MS, Director of Children’s Health Services Research, Indiana University School of Medicine
Michael J. Barry, MD, President, Informed Medical Decisions Foundation; Clinical Professor, Department of Medicine, Harvard Medical School
Zsolt Nagykaldi, PhD, Associate Professor, Associate Director of Research, University of Oklahoma Health Sciences Center

There are a plethora of clinical guidelines, and their sheer number is an impediment to their implementation. Moreover, new ones are produced every year. HIT is often used to implement and incentivize adherence with guidelines, but without attention to prioritization and personalization. This talk will discuss the advent of newer, composite guidelines that “weigh” individual guidelines based on the magnitude of their expected health benefit, considering individual patient risk factors/medical history, yielding a composite measure that reflects the amount of health benefit patients are receiving as a consequence of their care (for example, healthy life years gained, percentile health compared to others of same age and sex, proportion of health benefit being attained). This can be used not only as a quality metric, but also to facilitate self-monitoring. Moreover, HIT can provide mechanisms to help patients better understand the risks and benefits of their medical decisions. For tests and procedures that involve significant risks and modest benefit (so called preference sensitive care), shared decision making tools can profoundly affect healthcare utilization.

Innovations in Population Health

Murray Ross, Vice President, Kaiser Foundation Health Plan, Director of Kaiser Permanente Institute for Health Policy, Moderator
Robert Dittus, MD, MPH, Director, Vanderbilt Institute for Medicine and Public Health
Suzanne Bakken, PhD, RN, Alumni Professor of Nursing, Professor of Biomedical Informatics Columbia University
Randall Cebul, MD, President, Better Health Greater Cleveland

Many approaches to population health are emerging across the country, with varying approaches to community engagement and informatics infrastructure. Robert Dittus will speak about the meaning of excellence in health. Suzanne Bakken will discuss making community partnerships work.

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